Perfect for so many different Physical Therapy Exercises, balance and Stability. I also use it at the my table and desk, as an ergonomic foot rest. It is helpful for foot and ankle exercises, while I sit. It does come fully assembled, with an sheet of some exercises. You do not need to inflate anything. There are so many more ways to use it, other than what is on the sheet.It is super sturdy. I am really happy with it.
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